Scientific Program

Dr.D.Y.Patil University,India

Title: TransAbdominal Sonography of the Stomach & Duodenum

Biography:

Dr.Vikas Leelavati BalaSaheb Jadhav has completed PostGraduation in Radiology

in 1994. He has a 23 Years of experience in the field of Gastro-Intestinal Tract

Ultrasound & Diagnostic as well Therapeutic Interventional Sonography. He is the

Pioneer of Gastro-Intestinal Tract Sonography, especially Gastro-Duodenal

Sonography. He has delivered many Guest Lectures in Indian as well International

Conferences in nearly 27 countries as an Invited Guest Faculty, since March 2000. He is

a Consultant Radiologist & the Specialist in Conventional as well Unconventional

Gastro-Intestinal Tract Ultrasound & Diagnostic as well Therapeutic Interventional

Sonologist in Pune, India.

TransAbdominal Sonography of the Stomach & Duodenum can reveal following

diseases. Gastritis & Duodenitis. Acid Gastritis. An Ulcer, whether it is superficial, deep

with risk of impending perforation, Perforated, Sealed perforation, Chronic Ulcer &

Post-Healing fibrosis & stricture. Polyps & Diverticulum. Benign intra-mural tumours.

Intra-mural haematoma. Duodenal outlet obstruction due to Annular Pancreas. Gastro-

Duodenal Ascariasis. Pancreatic or Biliary Stents. Foreign Body. Necrotizing Gastro-

Duodenitis. Tuberculosis. Lesions of Ampulla of Vater like prolapsed, benign &

infiltrating mass lesions. Neoplastic lesion is usually a segment involvement, & shows

irregularly thickened, hypoechoic & aperistaltic wall with loss of normal layering

pattern. It is usually a solitary stricture & has eccentric irregular luminal narrowing. It

shows loss of normal Gut Signature. Enlargement of the involved segment seen.

Shouldering effect at the ends of stricture is most common feature. Enlarged

lymphnodes around may be seen. Primary arising from wall itself & secondary are

invasion from peri-Ampullary malignancy or distant metastasis. All these cases are

compared & proved with gold standards like surgery & endoscopy.

Some extra efforts taken during all routine or emergent ultrasonography

examinations can be an effective non-invasive method to diagnose primarily hitherto

unsuspected benign & malignant Gastro-Intestinal Tract lesions, so should be the

investigation of choice.